KATELYN ELIZABETH ZODIKOFF
NPI 1629418678
Counselor - Mental Health in Stockton, CA

Q: What is Katelyn Zodikoff's NPI number?

The NPI number for Katelyn Zodikoff is 1629418678. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Q: What is Katelyn Zodikoff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Zodikoff was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 04, 2013PECOS Enrolled

1414 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-4240 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2023, Sep 10, 2021, Aug 2, 2021 and 1 more (4 updates tracked since 2020).

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About Katelyn Elizabeth Zodikoff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN ELIZABETH ZODIKOFF (NPI 1629418678) is an individual mental health provider in Stockton, California, licensed in California (127930) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629418678

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKATELYN ELIZABETH ZODIKOFF

Location Address1414 N CALIFORNIA STStockton, CA 95202-1515

Mailing Address1414 N California StStockton, CA 95202-1515 · (209) 468-4240

Phone(209) 468-4240

Sole ProprietorNo

Enumeration DateJuly 4, 2013

Last NPPES UpdateFebruary 1, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2023

✔ NPI 1629418678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 127930

Also ListedCounselorTaxonomy 101Y00000X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

1414 N CALIFORNIA ST, Stockton, CA 95202

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Elizabeth Zodikoff is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARITZA JUACHE

Day Training/Habilitation Specialist